<div id="jsdxqDialog" class="modal inmodal fade" aria-hidden="true">
    <div class="modal-dialog">
        <div class="modal-content">
            <div class="modal-header">
                <button type="button" class="close" data-dismiss="modal"><span aria-hidden="true">&times;</span><span
                    class="sr-only">Close</span></button>
                <h4 class="modal-title">编辑结算单</h4>
            </div>
            <div class="modal-body">
                <div class="row">
                    <form class="form-horizontal" role="form">
                        <div class="col-md-12">
                            <input type="hidden" data-bind  name="entity.uuid" />


                            <div class="form-group">
                                <label class="col-sm-2 control-label">结算单号：</label>
                                <div class="col-sm-4">
                                    <input type="text" data-bind class="form-control" id="jsdId" name="entity.jsdId"
                                           placeholder="请输入结算单号">
                                </div>
                                <label class="col-sm-2 control-label">生成日期：</label>
                                <div class="col-sm-4">
                                    <input type="text" data-bind class="laydate-icon form-control" id="schrq" name="entity.schrq"
                                           placeholder="请输入生成日期">
                                </div>
                            </div>

                            <div class="form-group">
                                <label class="col-sm-2 control-label">订单总额：</label>
                                <div class="col-sm-4">
                                    <input type="text" data-bind class="form-control" id="ddze" name="entity.ddze"
                                           placeholder="请输入订单总额">
                                </div>
                                <label class="col-sm-2 control-label">结算金额：</label>
                                <div class="col-sm-4">
                                    <input type="text" data-bind class="form-control" id="jsje" name="entity.jsje"
                                           placeholder="请输入结算金额">
                                </div>
                            </div>

                            <div class="form-group">
                                <label class="col-sm-2 control-label">调账金额：</label>
                                <div class="col-sm-4">
                                    <input type="text" data-bind class="form-control" id="tzje" name="entity.tzje"
                                           placeholder="请输入调账金额">
                                </div>

                                <label class="col-sm-2 control-label">应付金额：</label>
                                <div class="col-sm-4">
                                    <input type="text" data-bind class="form-control" id="yfje" name="entity.yfje"
                                           placeholder="请输入应付金额">
                                </div>
                            </div>

                            <div class="form-group">
                                <label class="col-sm-2 control-label">收款银行：</label>
                                <div class="col-sm-4">
                                    <input type="text" data-bind class="form-control" id="shkyh" name="entity.shkyh"
                                           placeholder="请输入收款银行">
                                </div>
                                <label class="col-sm-2 control-label">银行账号：</label>
                                <div class="col-sm-4">
                                    <input type="text" data-bind class="form-control" id="yhzhh" name="entity.yhzhh"
                                           placeholder="请输入银行账号">
                                </div>
                            </div>

                            <div class="form-group">
                                <label class="col-sm-2 control-label">收款人：</label>
                                <div class="col-sm-4">
                                    <input type="text" data-bind class="form-control" id="shkr" name="entity.shkr"
                                           placeholder="请输入收款人">
                                </div>
                                <label class="col-sm-2 control-label">联系方式：</label>
                                <div class="col-sm-4">
                                    <input type="text" data-bind class="form-control" id="lxfsh" name="entity.lxfsh"
                                           placeholder="请输入联系方式">
                                </div>
                            </div>

                            <div class="form-group">
                                <label class="col-sm-2 control-label">已付金额：</label>
                                <div class="col-sm-4">
                                    <input type="text" data-bind class="form-control" id="yjfje" name="entity.yjfje"
                                           placeholder="请输入已付金额">
                                    <input type="hidden" data-bind class="form-control" id="yfk" name="entity.yfk" >
                                </div>
                                <label class="col-sm-2 control-label"></label>
                                <div class="col-sm-4">
                                </div>
                            </div>


                        </div>
                    </form>
                </div>
            </div>
            <div class="modal-footer">
                <button type="button" class="btn btn-white" data-dismiss="modal">关闭</button>
                <button  type="button" class="btn btn-primary" name="btnSave">保存</button>
            </div>
        </div>
    </div>
</div>